| NPI | 1174775423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 1282) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PR 1282) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |